最后审阅: 15 三月 2021
最后更新: 24 八月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 卒中史
  • 解决问题困难
  • 冷漠
  • 脱抑制
  • 处理信息的速度减慢
  • 注意力差
  • 提取记忆缺失
  • 额叶释放反射
  • 局部神经系统体征
  • 步态和平衡受损

危险因素

  • 年龄 60 岁以上
  • 肥胖
  • 高血压
  • 吸烟
  • 糖尿病
  • 高胆固醇血症
  • 酗酒

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 红细胞沉降率
  • 血糖水平
  • 肾脏和 LFTs
  • 梅毒血清学检查
  • 维生素 B12
  • 叶酸
  • 甲状腺功能
  • 颅脑 CT 或 MRI
  • 心电图 (ECG)

需考虑的检查

  • 狼疮抗凝剂、抗磷脂、抗核抗体试验
  • 神经心理测验
  • 颈动脉超声
  • 超声心动图

治疗流程

撰稿人

Professor of Ageing and Geriatric Medicine

Queen's University Belfast

Belfast

UK

利益声明

PP declares that he has no competing interests.

Dr Peter Passmore would like to gratefully acknowledge Dr David Wilson, Dr Grant Bateman, and Dr Velandai Srikanth, previous contributors to this monograph. DW has received educational grants from Shire. GB and VS declare that they have no competing interests.

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Medical Director

Kings Harbor Multicare Center

New York

NY

利益声明

RJG declares that he has no competing interests.

Affiliate Assistant Professor

Department of Psychiatry and Behavioral Sciences

University of Washington Medical Center

Seattle

WA

利益声明

CNS declares that he has no competing interests.

Assistant Professor and Clinical Neuropsychologist

Department of Neurological Sciences

Rush University Medical Center

Chicago

IL

利益声明

BB declares that he has no competing interests.

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